Most Relevant Information
Provider Data
| NPI Number: | 1003415258 |
| Provider Name: | MELISSA BANGLE PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/20/2020 |
| Last Updated: | 10/20/2020 |
Provider Practice Location
510 BUTLER AVE
MARTINSBURG
WV
254059991
Practice Location Phone/Fax
| Phone: | 3042630811 |
| Fax: | 3045792663 |
Provider Mailing Location
510 BUTLER AVE
MARTINSBURG
WV
254059991
Provider Mailing Phone/Fax
| Phone: | 3042630811 |
| Fax: | 3045792663 |